Nicola, Frederic G
Nicola, Frederic G is an sole proprietor health care provider with primary practice located at 13160 Mindanao Way Ste 300, Marina Del Rey CA 90292-6358. He recently has 5 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Other Service Providers / Specialist is his primary health care specialty. Nicola, Frederic G can be contacted via phone (310) 574-0400.Contact Information
Primary practice address
13160 Mindanao Way Ste 300
Marina Del Rey CA 90292-6358
Phone: (310) 574-0400
Fax: (310) 574-0485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G38262 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G38262 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | G38262 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | G38262 | California |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | G38262 | California |
Profile Details
| NPI number | 1184736480 |
|---|---|
| LBN Legal business name | Nicola, Frederic G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Apr 14th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184736480 | NPPES |
| California | Other | 953951031 | TAX ID |
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